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Brimonidine Tartrate

Onreltea Gel

Onreltea Gel, containing 0.33% Brimonidine Tartrate, is a topical treatment for facial redness due to rosacea in adults. It works by constricting blood vessels to reduce redness. Applied daily to the forehead, chin, nose, and cheeks, Onreltea should not exceed 1g per application. It is not recommended for children under 18, and its use should be closely monitored for any severe side effects, such as eyelid swelling or skin irritation. Consultation with a healthcare provider is advised before starting Onreltea gel for rosacea treatment.

Product Overview

Onreltea Gel is a topical medication designed to manage facial redness associated with rosacea in adults 18 years and older. Each gram of Onreltea 0.33% gel contains 5 mg of Brimonidine Tartrate, equivalent to 3.3 mg of free base Brimonidine, which acts by narrowing the dilated blood vessels on the face, effectively reducing redness and flushing. 

The recommended application involves a pea-sized amount gently rubbed into five specific areas of the face: the forehead, chin, nose, and each cheek, ensuring not to exceed 1 gram of gel daily. This medication is not approved for pediatric use, and its safety and efficacy in children have not been established. Common side effects include flushing, skin burning, and irritation, while serious reactions may include severe rash and difficulty breathing. 

Patients are advised to use Onreltea consistently at the same time each day and consult a healthcare provider if symptoms persist or worsen. The gel is strictly for external use and should be stored at room temperature away from moisture and direct sunlight. You may buy Onreltea gel online from Canada easily with a valid prescription.

What Is Onreltea Used For?

  • It is used for the topical treatment of skin redness caused by rosacea in adults 18 years of age and above.

What Strengths Does Onreltea Gel Come In?

This medication is available in a strength:

  • Onreltea 0.33% gel (Each gram of the gel contains 5 mg of Brimonidine Tartrate, which is comparable to 3.3 mg of Brimonidine-free base.)

What Is the Typical Dosage of Onreltea Gel?

The dosage recommendations for Onreltea depend on several factors, including the type and severity of your medical condition and the form of medication you take. Generally, medical professionals prescribe a starting dose and gradually adjust the drug doses as needed. It is important to note that the dosage recommendations below are only for the average dose. So, if you have been prescribed a different dose, do not change it without consulting your medical practitioner.  

Dosage of Onreltea Gel for Facial Redness
  • For Adults
      • To maintain consistent control of symptoms, apply the gel once daily, at the same time each day.
      • Administer the topical gel to the five areas of the face, i.e., forehead, chin, nose, and each cheek.
      • Do not use more than 1g of the medication, corresponding to the five pea-sized amounts.
  • For Pediatrics (Below 18 Years of Age)
    • Safety & efficacy have not been established in pediatric patients.

[Note: Remember, these recommendations may vary from person to person. Discuss it with your doctor, and they’ll customize your dosage accordingly.]

How to Use Onreltea?

When using Onreltea gel for rosacea treatment, it’s really important to apply it correctly to achieve the best results and minimize side effects. Here’s a simple guide on how to use this gel properly:

  • Before proceeding to the administration steps, read the medication guide thoroughly given by your doctor or pharmacist. This guide offers detailed information.
  • It is important to note that you use this medication as your doctor prescribes. Do not try to use more or less of it. Doing so will not give you any additional benefits; instead, it will increase your risk of experiencing side effects.
  • Complete the course of your treatment as your practitioner prescribes. Do not alter the treatment frequency without consulting a medical professional.
  • This medication is for face use only. Avoid getting the medicine in contact with the mouth, eyes, or vagina. 
  • Wash your hands thoroughly with soap and water before and after using this gel.
  • Clean the area where you want to put on the gel and apply a pea-sized amount to five areas of the face, including the central forehead, nose, chin, and both cheeks.
  • Gently rub the gel and let it absorb by the skin.
  • Do not apply the medication to damaged, irritated, or injured skin with open cuts or wounds. If it gets on these areas, rinse it off immediately with water.
  • Avoid applying any cosmetic product before using this gel.
  • If you do not notice any improvement within five days or if your condition worsens over time, contact your medical practitioner. 
  • Use the gel continuously at the same time to maintain its beneficial effect and to get the most benefit out of it.
  • Do not stop using this product suddenly without consulting your medical practitioner, even if you feel well. Doing so can result in serious side effects, which can be fatal. 

[Note: Your doctor will decide the right amount for you based on your condition, following guidelines and studies on the drug. They’ll adjust it as needed over time.]

How Does Onreltea Gel Work?

Onreltea gel (brimonidine) works by reducing facial redness associated with rosacea. It contains Brimonidine, an alpha-2 adrenergic agonist, which constricts blood vessels in the skin. By narrowing these blood vessels, Onreltea gel decreases the blood flow to the surface of the skin, leading to a visible reduction in redness and flushing. Applied once daily, the gel provides a consistent therapeutic effect, helping individuals manage their rosacea symptoms effectively. It is designed for topical use, ensuring targeted treatment with minimal systemic absorption, making it a safe and effective option for long-term rosacea management.

What Are the Important Safety Information for Using Onreltea?

What Are the Side Effects of Onreltea Gel?

Common Onreltea Gel Side Effects: Onreltea Gel is used to treat facial redness caused by rosacea and, like any medication, it can cause some side effects. These side effects are usually temporary, lasting from a few days to a few weeks. However, if they continue longer than this period, become bothersome, or intensify, it’s important to consult your doctor or pharmacist. Here are the common side effects you might experience with Onreltea Gel:

  • Flushing: A temporary increase in facial redness which can feel like a warm flush across the skin.
  • Skin burning sensation: A feeling of heat or discomfort on the skin where the gel has been applied.
  • Redness: Increased reddening of the skin, which is also the primary symptom the gel is treating.
  • Itching: An uncomfortable sensation that leads to the urge to scratch the applied area.
  • Excessive whitening where the gel is applied: Areas where the gel has been used might appear noticeably lighter than the surrounding skin.
  • Headache: Pain or pressure in the head.
  • Stinging: A sharp pain or discomfort that occurs immediately after the gel application.
  • Acne: Breakouts or pimples that can occur after using the gel.
  • Dry mouth: A parched feeling in the mouth, which may feel uncomfortable.
  • Dry skin: The treated skin may feel parched or flaky.
  • Cold hands and feet: A decrease in circulation might make your extremities feel unusually cold.
  • Nasal congestion: A stuffy nose following the use of the gel.
  • Warm skin sensation: The skin where the gel was applied may feel unusually warm to the touch.
  • Skin blemishes: New spots or marks on the skin.
  • Flaking and scaling: Dry, dead skin cells peeling away from the treated area, similar to dandruff.
  • Soreness: Discomfort or tenderness in the area where the gel is applied.

Serious Onreltea Gel Side Effects: Onreltea Gel is generally used to manage rosacea symptoms, but like any medication, it can have serious side effects. If you experience any of the following issues, it’s crucial to contact your doctor immediately or, if the symptoms seem life-threatening, call your local emergency number or 911. Here’s a straightforward explanation of serious side effects that may occur with Onreltea Gel:

  • Eyelid swelling: Your eyelids may puff up noticeably, which can interfere with vision and indicate a severe reaction.
  • Severe rash: Intense and widespread rash that could be painful or itchy, suggesting a significant allergic or adverse reaction.
  • Skin disease: New or worsening skin conditions that are not typical for you, such as unusual lesions or severe acne.
  • Exacerbation of rosacea: An increase in rosacea symptoms, like more intense redness or irritation than usual.
  • Allergic reactions: Signs of allergy including hives, itching, or swelling, particularly around the face and throat which could impede breathing.
  • Difficulty breathing: Any trouble with breathing, whether it feels like you cannot catch your breath or your chest feels tight.
  • Swelling on the face, mouth, or tongue: Noticeable puffiness that can affect eating, swallowing, or breathing.
  • Severe skin irritation: Intense burning, stinging, or itching that persists or worsens.
  • Blurred vision: A noticeable decline in your ability to see clearly, which could happen suddenly.
  • Fever: A high temperature that can indicate an infection or severe systemic reaction.
  • Muscle pain: Unexplained, severe muscle aches that are not related to exercise or known injury.
  • Sore throat: Pain or scratchiness in the throat that is severe or worsening.
  • Tiredness or weakness: An unusual or extreme level of fatigue that affects your ability to engage in usual activities.
  • Slow heart rate: A noticeable decrease in your pulse rate that can make you feel dizzy or lightheaded.
  • Hypotension: Low blood pressure that can cause fainting or severe dizziness, especially when standing up.
  • Fainting: Losing consciousness, even briefly, which can be a sign of low blood pressure or other serious conditions.
  • Orthostatic hypotension: A form of low blood pressure that happens when you stand up from sitting or lying down, causing dizziness, lightheadedness, or fainting.

[Note: Remember, this list may not cover all possible side effects. Always consult with your healthcare giver for medical advice about side effects.]

Are There Any Warnings for Using Onreltea Gel?

Onreltea for skin care can cause severe side effects in certain patients, or it may not be an ideal treatment option for specific populations due to their medical conditions. So, if you are using this topical medication, you should remain cautious as it has several warnings, which are as follows:

  • Increased Erythema and Flushing: Some patients may experience worsening facial redness and flushing, especially within the first two weeks of using Onreltea for facial redness management. This potential exacerbation of symptoms should be monitored closely, and patients should report any severe reactions to their healthcare provider immediately.
  • Cardiovascular Effects: Using Brimonidine may affect the cardiovascular system, including the heart and blood vessels. It has been noted that when this medication narrows the skin’s blood vessels, it also impacts the other blood vessels of the body in the same way. So, if you have a history of angina, stroke, heart attack, stroke, and other conditions that can exacerbate with the reduced blood supply, consult with a medical professional on how Brimonidine may affect your medical condition and if you need any special monitoring or not.
  • Kidney Function: The kidney is essential for removing the drug from your body. While it is not studied, reduced kidney functioning may result in the buildup of the medication in the body, causing serious side effects. If you have an impaired kidney or have kidney problems, talk to a medical professional. They will provide expert opinions on how the medication may affect your body and the effectiveness of Onreltea.
  • Raynaud’s Phenomenon: It is a condition in which blood circulation to the fingers and toes becomes poor. It can cause them to turn white, blue, or purple due to narrowed blood vessels. The use of Brimonidine may make its symptoms worse. Patients with such conditions should consult a medical practitioner before making any decision. 

What Are the FDA Black Boxed Warning for Onreltea Gel?

Boxed warnings, also called black-boxed warnings, are among the most strict guidelines issued by the FDA. These warnings alert doctors and patients about the harmful effects of a particular drug, which can be life-threatening if overlooked. Onreltea has no such boxed warnings, meaning it is safe to use. However, its safety is based on the precautions you take. Therefore, if you are using this medication, follow the instructions provided by your medical practitioner. If you have any concerns or notice any unusual symptoms, it’s best to consult with an expert.

What Are the Precautions for Onreltea Gel?

When considering treatment with Onreltea (Brimonidine), patients should discuss every risk and benefit with their medical practitioner. Here are some of the precautions that you can take before using Onreltea gel for rosacea:

  • Before using this medication, tell your healthcare expert about your allergies or if you are allergic to Brimonidine or any of the ingredients present in the formulation of the medication. The product may contain certain inactive components that can cause severe allergic reactions. 
  • It is important to note that this medication is not prescribed for ophthalmic, oral, or intravaginal use. If the gel gets in these areas, rinse it immediately with water.
  • Do not apply this product to irritated skin, areas where you have had laser therapy or open wounds. It may increase the risk of hemodynamic effects. If you’ve had laser therapy, be cautious. Some patients experienced bradycardia (slow heart rate), hypotension (low blood pressure, including when standing up), and dizziness after using Onreltea. In severe cases, hospitalization was needed. 
  • Onreltea for skin care contains methylparahydroxybenzoate (E218) and propylene glycol as inactive ingredients. These components may cause serious allergic reactions and skin irritation, respectively. When using this product, take expert opinions to avoid such situations.
  • This medication is not recommended for children and adolescents between the ages of 2 & 18. Talk to your medical practitioner before using this product. 
  • Take frequent visits to your doctor and closely monitor for any unwanted effects during your treatment with Onreltea gel.
  • If you are undergoing surgery or any medical procedure, inform your doctor about the products you use. This includes all prescription drugs, nonprescription medications, and herbal products.
  • When considering treatment with Onreltea for facial redness management, tell your medical practitioner about your or your family’s medical history to avoid experiencing any unusual side effects. This includes:
    • Heart problems
    • History of kidney or liver problems
    • Depression
    • Circulatory problems
    • Cerebral or coronary insufficiency
    • Blood pressure disorder
    • Scleroderma (an autoimmune disease)
    • Sjogren’s syndrome (an autoimmune disorder)
  • Onreltea may cause redness in areas where you have not experienced this before. So, if you are thinking of using this product, it is best to talk to a dermatologist and discuss every risk and benefit associated with it.
  • Before re-using this product, test it on a small area of your face, preferably one day before the re-treatment. If you do not feel any irritation or redness, continue the treatment.
  • If you are pregnant or considering having a baby, do not use this medication unless it is clearly needed. Talk to your medical practitioner before using this product and discuss every risk and benefit.
  • It is not clear whether the drug enters into the breast milk. So, if you are a nursing mother and taking this medication, talk to a healthcare practitioner, as the product may harm the baby. 

What Are the Contraindications for Onreltea Gel?

Onreltea (brimonidine) gel is contraindicated in:

  • Patients with hypersensitivity reactions to Brimonidine or any of the medication’s ingredients. 
  • Children under the age of 2 years.

What Happens If You Miss a Dose of Onreltea Gel?

It is advised not to miss any doses/application of Onreltea gel, but if you forgets or skips any of the dose here’s what you can do:

  • Apply the Onreltea for facial redness management as soon as possible or whenever you remember.
  • If it is almost time for the next application, you may omit the missed dose and follow your doctor’s prescribed regular dosing schedule.
  • Remember not to simultaneously apply the prescribed gel twice just for the sake of making up for the missed dose. This may cause adverse side effects, which can be fatal.
  • Use medication apps or set reminders on your phone to avoid skipping any doses.
  • Take each dose at the same time every day to get the most benefit out of it.
  • If you are still unsure about the missed doses, talk to an expert practitioner. They will guide you and suggest alternate options.  

[Note: If you have missed a dose of your medication and are unsure about when to take the next one, immediately consult your doctor or pharmacist.]

What Happens If You Use Too Much Onreltea Gel?

While patients are educated enough to know the complications of overdose, there are times when they mistakenly apply an excessive amount of Onreltea gel. Such a situation can result in adverse side effects, but this medication has no information on its overdose. However, oral overdoses of other alpha-2 adrenergic agonists have some serious symptoms, such as:

  • Hypothermia
  • Nausea
  • Vomiting
  • Hypotension
  • Asthenia
  • Lethargy
  • Sedation
  • Bradycardia
  • Arrhythmias
  • Myosis
  • Apnoea
  • Hypotonia
  • Respiratory depression
  • Seizure

It is important to note that the ingestion of Onrelta gel reported cases of serious adverse effects in children, which are the same as the above overdose symptoms of other alpha-2 adrenergic agonists. In such cases, patients are advised not to panic and instead visit the nearest clinic or get medical assistance immediately by calling 911.  

[Note: If you consumed more than the recommended dose, get medical help right away or call the Poison Help line at 1-800-222-1222.]

How Do You Store Onreltea Gel?

To properly store Onreltea gel and ensure its effectiveness, follow these guidelines:

  • Store it at a room temperature of 15°C to 30°C.
  • Make sure not to freeze the gel.
  • Keep the gel away from extreme heat, light, and moisture.
  • Do not store it under direct sunlight.
  • Avoid keeping it in damp or moist places.
  • Discard the product when it is not in use.
  • Do not use this gel if its expiration date has passed.

Following these storage instructions will help maintain the quality and effectiveness of your Onreltea gel. If you have any questions about storing your medication, consult your pharmacist for more specific advice.

[Note: Discuss with your healthcare professional about the proper disposal of any unused medicine and any questions you may have regarding its storage.]

What Drugs Interact with Onreltea Gel?

When using Onreltea Gel, which contains Brimonidine, it’s important to be aware of potential drug interactions that can affect the medication’s effectiveness or raise the risk of side effects. Here are some drugs might interact with Onreltea:

  • Alpha agonists such as Clonidine and Methyldopa: These medications can enhance the blood pressure-lowering effects of Brimonidine, potentially leading to lower blood pressure than desired.
  • Angiotensin-converting enzyme (ACE) inhibitors like Captopril, Enalapril, and Ramipril: These drugs, used to treat high blood pressure and heart issues, can also lower blood pressure. When used with Brimonidine, there’s a heightened risk of a significant drop in blood pressure.
  • Angiotensin receptor blockers (ARBs) such as Candesartan, Irbesartan, and Losartan: Similar to ACE inhibitors, ARBs can further increase the risk of low blood pressure when combined with Brimonidine.
  • Antihistamines like Cetirizine, Doxylamine, Diphenhydramine, Hydroxyzine, and Loratadine: These can increase drowsiness if used with Brimonidine, leading to enhanced sedative effects.
  • Antipsychotics including Chlorpromazine, Clozapine, Haloperidol, Olanzapine, Quetiapine, and Risperidone: These medications can interact with Brimonidine, potentially leading to increased sedation or changes in blood pressure.
  • Barbiturates such as Butalbital, Pentobarbital, and Phenobarbital: These can enhance the central nervous system depressant effects when used with Brimonidine, increasing sedation.
  • Beta-adrenergic blockers like Atenolol, Propranolol, and Sotalol: These heart medications can interact with Brimonidine to further decrease heart rate and blood pressure.
  • Calcium channel blockers including Amlodipine, Diltiazem, Nifedipine, and Verapamil: Using these with Brimonidine can lead to significantly lowered blood pressure.
  • Diuretics such as Furosemide, Hydrochlorothiazide, and Triamterene: These might increase the blood pressure-lowering effects of Brimonidine.
  • Monoamine oxidase inhibitors (MAOIs) like Phenelzine, Rasagiline, Selegiline, and Tranylcypromine: Mixing these with Brimonidine may result in severe hypotension (low blood pressure).
  • Muscle relaxants such as Cyclobenzaprine, Methocarbamol, and Orphenadrine: These can add to the sedative effects of Brimonidine.
  • Narcotic pain relievers like Codeine, Fentanyl, Morphine, and Oxycodone: These can increase sedation and decrease blood pressure when used with Brimonidine.

What Are the Other Interactions of Onreltea Gel?

In addition to potential interactions with other medications, Onreltea Gel can also interact with various foods, drinks, herbs, or dietary supplements. These interactions may influence the effectiveness of the medication or heighten the risk of side effects. It’s important to be aware of these possibilities to manage your treatment effectively:

  • Alcohol: Consuming alcohol while using Onreltea Gel can enhance the blood vessel-dilating effects of the medication, potentially leading to increased skin redness or flushing.
  • Caffeine: High amounts of caffeine can constrict blood vessels, which might counteract the effects of Onreltea Gel in reducing facial redness.
  • Spicy Foods: These can trigger flushing and increase rosacea symptoms, which may reduce the effectiveness of Onreltea in managing these conditions.
  • Hot Beverages: Similar to spicy foods, hot drinks like coffee or tea can cause temporary flushing, which might worsen rosacea symptoms.
  • Herbal Supplements: Certain herbs known to affect blood vessels, such as ginkgo biloba, garlic, and ginger, might interfere with Onreltea Gel’s action. These herbs can either enhance or diminish the drug’s effects, depending on their properties.
  • Blood Pressure Medications: While technically falling under medications, dietary supplements that affect blood pressure should be considered carefully, as they might amplify or weaken the effects of Onreltea.
  • Tobacco: Smoking can exacerbate rosacea symptoms and potentially reduce the effectiveness of Onreltea Gel in managing redness and inflammation.

When using Onreltea Gel, it’s advisable to discuss your diet and any supplements you are taking with your healthcare provider. They can provide detailed guidance on what to avoid to ensure the medication works as intended without unwanted interactions.

[Note: This isn’t a complete list, and there could be other drugs that interact with Onreltea Gel. Make sure to tell your doctor about any prescription, over-the-counter medicines, and herbal products you’re taking.]

What Are the Alternatives to Onreltea Gel?

People usually take alternative drugs for many reasons. In some cases, the prescribed medication may not be an ideal option for them due to their medical conditions. On the other hand, they may not achieve the results they are aiming for. Therefore, you should talk to a medical professional before you start a particular treatment or if you want to change your medication. They may help you decide which medication is best suited for you. Some of the alternatives of Onreltea for facial redness management are as follows:

[Note: Your doctor will choose what’s best for you. Don’t use any of these alternative medications without consulting your healthcare provider. Taking them by yourself may cause serious side effects.]

Onreltea Gel Coupons & Cost

For those struggling with rosacea, the cost of Onreltea Gel can be a concern, especially in the U.S. where healthcare expenses can be high. To help alleviate these costs, choose to buy Onreltea Gel online from Canada through Polar Bear Meds. We provide Onreltea Gel at considerably lower prices, offering an affordable solution for U.S. residents. When purchasing your medication use the Onreltea Gel coupon code “WELCOMEPB10” to receive an additional 10% off your first order. Don’t forget to join our referral program to enjoy further savings, which could add up to significant discounts on your ongoing treatment.

Frequently Asked Questions

Can you drink alcohol while using brimonidine gel?

While using brimonidine gel, it is advisable to avoid or limit alcohol consumption. Alcohol can increase the risk of side effects from brimonidine, especially if used alongside other medications with similar effects.

Does brimonidine cause eyelashes to grow?

Brimonidine does not promote eyelash growth. A different medication called bimatoprost (also known by the brand name Lumigan), which is used to treat glaucoma, can cause eyelash growth as a side effect and is marketed as Latisse for enhancing eyelashes.

Does brimonidine lift eyelids?

Brimonidine eye drops can be used to lift the eyelids in certain situations, particularly when another medication called apraclonidine is not available.

Is latanoprost better than brimonidine?

Latanoprost (Xalatan) is effective for reducing eye pressure and is commonly used for glaucoma but may alter eyelash growth and eye color. Brimonidine (Alphagan P) also reduces eye pressure and is applied up to three times a day. Choosing between them depends on the specific medical needs and potential side effects.

Can you take brimonidine and latanoprost together?

Combining brimonidine and latanoprost may require adjustments in dosages or more frequent blood pressure monitoring. Always inform your doctor about all other medications you are taking, including over-the-counter drugs and herbal supplements.

Is Onreltea gel a permanent solution for treating rosacea?

Onreltea gel is not a permanent cure for rosacea but helps manage and reduce symptoms like facial redness when used regularly. The effects are temporary, and symptoms may return if usage is discontinued.

When is the best time to use Onreltea gel?

The optimal time to apply Onreltea gel is once daily in the morning after washing and drying your face. This routine helps maintain the gel’s effectiveness throughout the day in managing rosacea symptoms.

What happens if I stop using Onreltea gel abruptly?

If you suddenly stop using Onreltea gel, you may see a return of rosacea symptoms such as facial redness and flushing. It is recommended to consult a healthcare provider before discontinuing to discuss potential alternative treatments or a phased stopping plan.

How long does it take for Onreltea gel to work?

Onreltea gel generally begins to reduce facial redness within 30 minutes of application, with effects lasting up to 12 hours. Results may vary, with some users seeing more noticeable improvements after several days of consistent use.-

Does Onreltea gel stop skin blushing?

Onreltea gel effectively reduces the appearance of redness and blushing due to rosacea by constricting blood vessels in the skin. However, it might not eliminate all blushing episodes completely. Regular use is crucial for managing these symptoms effectively. For additional management strategies, consult a medical professional.

Our Guarantee

At PolarBearMeds.com, we assure you the most cost-effective price to buy Onreltea Gel online from Canada. Rest easy knowing that your order will be dispatched from a reputable Licensed Canada Pharmacy Online, adhering to the highest standards of quality and authenticity. Our discounted medications are shipped directly from Canada to your doorstep, ensuring a swift and secure delivery experience. To conveniently get affordable Onreltea gel for rosacea treatment, call us at 1-888-779-2193 toll-free.

IMPORTANT NOTICE : The content provided on the Polar Bear Meds website serves to increase knowledge about healthcare products and medical conditions and is strictly for informational purposes. It should not replace professional medical advice. We urge you to consult with a qualified healthcare professional prior to utilizing any prescription or over-the-counter medication. Our platform grants access to an extensive array of products, sourced internationally, including Canada. We collaborates with a licensed pharmacy partner in Canada and trusted dispensing pharmacies globally. All affiliated fulfillment centers are accredited by the regulatory authorities of their respective countries.

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